| NPI | 1669123279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA WALKER COO 801-599-8859 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2024-03-01 |